ʻAʻole mākou e noʻonoʻo nui i ka ʻeha a mākou e ʻike ai i ka wā e moni ai mākou i ka meaʻai, inu i kahi wai liʻiliʻi, a i ʻole ka ʻeha o ka puʻu, ʻeā? Akā, ua ʻike anei ʻoe ma hope o kēia mau mea a pau, aia kahi ʻāpana liʻiliʻi akā koʻikoʻi loa o ko mākou kino e hana nei? I kēia lā, e kamaʻilio mākou e pili ana i kekahi aʻalolo kūikawā loa. ʻO ia ke aʻalolo glossopharyngeal. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa a he mea nui ka hana āna e hana ai.
E nānā mua kākou, he aha kēia mau aʻalolo?
I ka ʻōlelo maʻalahi, ua like nā aʻalolo me kahi ʻōnaehana o nā kaula liʻiliʻi e holo ana ma ko kākou kino. ʻO ko kākou lolo ke kikowaena mana nui. Mai kēia kikowaena mana, lawe ʻia nā leka i ko kākou mau ʻāpana manaʻo a pau, e like me ko kākou mau lima, nā wāwae, nā maka, nā pepeiao, a me ka ʻāʻī, a mai kēlā mau ʻāpana, lawe ʻia nā leka i ka lolo ma o kēia ʻōnaehana o nā kaula i kapa ʻia ʻo nā aʻalolo. Ua like ia me ka ʻōnaehana uwea uila i loko o ko kākou hale. Hele nā leka uila a me nā kemika (neurons) mai ka lolo ma o kēia mau mea.
No laila, he aha kēia aʻalolo Glossopharyngeal?
ʻO ke aʻalolo glossopharyngeal ka ʻeiwa o nā hui nui he 12 o nā aʻalolo (9th Cranial Nerve a i ʻole CN IX) e hoʻomaka ana ma ka ʻaoʻao haʻahaʻa o ko kākou lolo (brainstem). Hele mai lākou i nā pālua, ʻo ia hoʻi, aia kekahi ma ka ʻaoʻao ʻākau o ko kākou ʻāʻī a hoʻokahi ma ka hema.
ʻO ke ʻano kūikawā o kēia aʻalolo, ʻo ia ka hiki iā ia ke hana i ʻekolu mau ʻano hana nui, me he mea lā e hana ana ke kanaka hoʻokahi i ʻekolu mau hana.
- Motika: Kōkua i ka hoʻoneʻe ʻana i nā ʻiʻo. ʻO kēia ka mea e hana ai nā ʻiʻo o ka puʻu i ka wā e moni ai mākou i ka meaʻai.
- Parasympathetic: Kōkua i nā ʻōkana a me nā ʻiʻo o ke kino e hoʻomaha i ka wā ʻaʻole mākou e hana, ʻo ia hoʻi, i ka wā hoʻomaha. No ka laʻana, ʻo ia ka mea e hōʻemi ai i ka hana ʻana o ka lawai i loko o ka waha ma hope o ka pau ʻana o kā mākou ʻai ʻana.
- ʻIke: Hāʻawi iā mākou i ka manaʻo. Kōkua kēia ʻāpana iā mākou e ʻike i nā mea e like me ka ʻono, ka pā ʻana, a me ka mahana. ʻO kēia ʻāpana e hāʻawi iā mākou i ka ʻeha ke ʻeha ko mākou puʻu a i ʻole ka manaʻo ke piha ko mākou mau pepeiao.
E noʻonoʻo wale, kōkua ke aʻalolo like iā ʻoe e ale i ka meaʻai, hāʻawi iā ʻoe i kahi ʻono ma ke kua o kou alelo, a hoʻouna pū i kahi leka i kou lolo e pili ana i ka ʻeha o ka puʻu. He mea kupaianaha maoli kēlā, ʻeā?
He aha nā hana nui o kēia aʻalolo i loko o ko kākou kino?
He kuleana koʻikoʻi ko ke aʻalolo glossopharyngeal i loko o ko kākou puʻu a me ka waha. E nānā kākou i kāna hana.
| ʻĀpana kino pili | He maʻalahi ka hana. |
|---|---|
| Kua o ke alelo | ʻO kēia aʻalolo ke kuleana no ka ʻono o ka meaʻai a kākou e ʻai ai, ʻoiai ma ka hapakolu hope o ke alelo. Ke ʻai kākou i kahi mea ʻawaʻawa, e like me ka ʻumeke ʻawaʻawa, ʻike nui ʻia ka ʻono ʻawaʻawa ma ke kua o ke alelo, no laila ʻo kēia ke aʻalolo ke kuleana no ia mea. |
| Kaʻina hana ale ʻana | Hoʻāla ʻia ka ʻiʻo stylopharyngeus i loko o ka puʻu, e kōkua ana i ka hāpai ʻana i ko kākou larynx a me ka pharynx. ʻO kēia kaʻina hana ka mea e hiki ai iā kākou ke ale i ka meaʻai a me ka mea inu me ka ʻole o nā pilikia. |
| Nā ʻōpū | ʻO ia ka ʻāpana koʻikoʻi o kēia aʻalolo e hoʻoili i ka ʻeha a mākou e ʻike ai ke loaʻa iā mākou ka ʻāʻī ʻeha a i ʻole nā tonsils pehu i ka lolo. |
| Pepeiao waena | ʻO kēia aʻalolo ke kumu e hoʻomaopopo ai iā mākou i ka ʻeha a mākou e manaʻo ai ke loaʻa iā mākou kahi maʻi pepeiao, a i ʻole ka piha a mākou e manaʻo ai ke piha ka pepeiao i ka wai e like me ka mucus. |
| ʻO ke kelepaʻi parotid | Ke pau kā mākou ʻai ʻana, hoʻomalu kēia aʻalolo i ka hana pono ʻole o ka lawai i loko o ka waha a hōʻemi i ka hana ʻana o ka lawai. |
| ʻO ka sinus Carotid | He kīʻaha koko kēia i loko o ko kākou ʻāʻī. Kōkua kēia aʻalolo i ka hoʻoponopono ʻana i ko kākou koko, ʻo ia hoʻi, e mālama iā ia i ka pae e pono ai. |
He aha nā maʻi e hoʻopilikia ai i kēia aʻalolo?
E like me nā ʻano kino ʻē aʻe, hiki ke hoʻopilikia ʻia ke aʻalolo glossopharyngeal e nā maʻi a me nā ʻeha like ʻole, a ʻo kekahi o ia mau mea he hopena nui ia i ko kākou ola o kēlā me kēia lā.
ʻO ka Neuralgia Glossopharyngeal (GPN)
ʻO kēia ke ʻano maʻamau a ʻeha hoʻi e pili ana i kēia aʻalolo. I ka ʻōlelo maʻalahi, he ʻeha nui kēia ma ke aʻalolo.
- He aha ka mea e hana ʻia?: No ke kumu ʻike ʻole ʻia, ua manaʻo koke ʻoe i kahi ʻeha nui, ʻoi, a me he uila lā ma kou puʻu, ke kua o kou alelo, a i loko paha o kou pepeiao.
- Pehea e hiki mai ai ka ʻeha?: Hiki i kēia ʻeha ke mau mai kekahi mau kekona a i kekahi mau minuke. Hiki ke hiki koke mai i ka wā e moni ai, e kamaʻilio ana, e ʻū ana, e ʻū ana, a e ʻakaʻaka nui ana paha.
- Hopena: He ʻeha nui loa kēia a makaʻu kekahi poʻe e ʻai a inu wai paha no ka makaʻu i ka hoʻi hou ʻana mai o ka ʻeha.
Ka maʻi lolo o ke aʻalolo Glossopharyngeal
Hana ʻia kēia ke hōʻino ʻia kēia aʻalolo e kahi ulia, hahau, a i ʻole kekahi ʻano olakino ʻē aʻe a lilo ia i mea e nalowale ai kāna hana. Hiki ke lilo ka aʻalolo i mea kīnā hapa a piha paha.
- Nā hōʻailona:
- Ka paʻakikī i ke ale ʻana (dysphagia).
- Ka nalowale ʻana o ka ʻike ʻono ma ke kua o ke alelo.
- Hoʻololi leo.
- Ka nalowale a nāwaliwali paha o ka ʻike ma ke kua o ka puʻu (gag reflex).
Nā kumu ʻē aʻe
Ma waho aʻe o nā kūlana i luna, hiki ke hōʻino ʻia kēia aʻalolo no kekahi mau kumu ʻē aʻe.
- ʻO nā puʻupuʻu a me ke kanesa: ʻO nā puʻupuʻu a i ʻole nā puʻupuʻu ʻē aʻe i loko o ka lolo, ka waha, ka ʻāʻī, nā tonsils, a i ʻole ke kumu poʻo e hiki ke hana i ke kaomi ʻana o kēia aʻalolo.
- Nā pilikia o kekahi mau ʻoki kino:
- ʻO Carotid Endarterectomy: Hiki ke hōʻino ʻia kēia aʻalolo i ka wā o ke ʻoki ʻana e wehe i ka momona mai kahi kīʻaha koko nui ma ka ʻāʻī.
- Tonsillectomy: I kekahi mau hihia, hiki i nā ʻiʻo ʻeha e hana ʻia ma hope o ka wehe ʻia ʻana o nā tonsils a me ka ho'ōla ʻana ke hoʻopaʻa i kēia aʻalolo, e hōʻeha ai. Ua kapa ʻia kēia ʻano he Eagle Syndrome.
- I ka wā anesthesia: ʻO kekahi mau ʻōmole (laryngeal mask airway) i kau ʻia ma o ka ʻāʻī i ka wā anesthesia hiki ke hōʻino i nā ʻiʻo koʻikoʻi o ka ʻāʻī a me kēia aʻalolo.
He aha kā mākou e hana ai e pale aku i kēia aʻalolo?
I kekahi manawa, hiki ke kū mai nā kūlana e like me ka glossopharyngeal neuralgia me ke kumu ʻole, e paʻakikī ai ke pale aku iā lākou. Eia nō naʻe, ma ka hōʻemi ʻana i nā kumu pilikia hiki iā mākou ke kaohi, hiki iā mākou ke hōʻemi i ka hōʻino ʻana i kēia aʻalolo.
- He nohona olakino: Inā ʻoe e puhipaka ana, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke haʻalele. He mea nui nō hoʻi ka hoʻēmi ʻana i ka inu ʻana i ka waiʻona. Hoʻemi kēia mau mea i ka pilikia o nā maʻi ʻaʻai waha a me ka ʻāʻī.
- Ke loaʻa ʻana o ka lāʻau pale HPV:Hiki i ka Human Papillomavirus (HPV) ke hoʻoulu i ka maʻi ʻaʻai puʻu. ʻO ka loaʻa ʻana o kēia lāʻau pale hiki ke hōʻemi i kēlā pilikia.
- ʻAi momona a me ka hoʻoikaika kino: ʻO ka ʻai kaulike a me ka hoʻoikaika kino mau e kōkua i ka mālama ʻana i ke olakino maikaʻi.
- Ke koho ʻana i kahi kauka ʻokiʻoki akamai no ke ʻoki ʻana: Inā pono ʻoe e hana i ke ʻoki ʻāʻī a i ʻole ka ʻāʻī, he mea nui loa ke koho ʻana i kahi kauka ʻokiʻoki i loaʻa ka ʻike maikaʻi ma ke kahua. Hiki i kēia ke hōʻemi i ka pilikia o nā pilikia.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, mai hoʻowahāwahā iā lākou a e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
- Ke paʻakikī i ka ale ʻana i ka meaʻai a me ka mea inu (dysphagia).
- Inā ʻoe e manaʻo i ka ʻoluʻolu ʻole a i ʻole ka ʻeha i ka wā e wehe ai i kou waha.
- Inā pinepine ʻoe e maloʻo ka waha.
- Inā manaʻo ʻoe ua nalowale kou manaʻo ma ke kua o kou waha a i ʻole kou puʻu.
- Inā manaʻo nāwaliwali a ʻaʻohe paha ka gag reflex.
- Inā loaʻa iā ʻoe kahi ʻeha koke, ʻoi, a like me ka uila ma ka ʻāʻī, ka pepeiao, a i ʻole ka ʻāpana alelo.
Mai hoʻowahāwahā i kēia mau hōʻailona me he mea lā he ʻeha puʻu wale nō. Hiki iā lākou ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila, he mea nui e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- He aʻalolo kūikawā ke aʻalolo glossopharyngeal e puka mai ana mai ko kākou lolo a he mea nui ia no ka moni ʻana, ka ʻono ʻana, a me ka ʻike ʻana i ka puʻu.
- ʻO ka neuralgia glossopharyngeal, kahi ʻeha koke a ʻoi i ka puʻu, ka pepeiao, a i ʻole ke kua o ke alelo me ke kumu ʻole, he ʻano ia e pili ana i kēia aʻalolo.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka paʻakikī i ka ale ʻana, nā loli o ka leo, a i ʻole ka nalowale o ka ʻono ma ke alelo.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo a e ʻike koke i kāu kauka no ka ʻōlelo aʻoaʻo kūpono a me ka lāʻau lapaʻau.
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